MCQs on TRANSFUSION, SHOCK, BURNS AND WOUND HEALING - General Surgery MCQs

The correct answers are highlighted in Green. Once you have finished studying these MCQs, Test yourself by watching the video at the bottom of the page.

# Incompatible blood transfusion leads to all except:
a) Increased plasma bilirubin
b) Increased plasma prothrombin
c) Jaundice
d) Renal failure

# The best method of controlling bleeding is to:
a) Apply a tourniquet
b) Apply direct pressure to the injury
c) Compress pressure points between the injury and the heart
d) Bandage the area

# Secondary hemorrhage appears in:
a) 7-14-days 
b) Within 6 hours
c) Due to Slipping of ligature
d) Bleeding disorders

# Clotting capacity of blood after storage:
a) Improves 
b) Not altered if kept at 4°C
c) Not altered if used within 3 days
d) Diminishes

# The sodium excretion shut down following trauma remains for:
a) 6 hours 
b) 24 hours
c) 36 hours 
d) 48 hours

# A patient of burns should be given:
a) 5% dextrose 
b) Hypertonic saline 0.9%
c) Dextrose saline 
d) Human albumin 4.5%

# Whole blood is stored at:
a)18-22 degree C
b) 4-8 degree C
c) 0 degree C
d) At room temperature

# SAG-M blood is useful in:
a) Anaemia
c) Burns
b) Haemophilia A
d) DIC

# Following infection can be transmitted by blood transfusion:
a) HIV
c) Malaria
b) Hepatitis B
d) All of the above

# Hemorrhage occurring due to raised blood pressure is :
a) Reactionary 
b) Secondary
c) Both of the above 
d) None of the above

# Reactionary haemorrhage occurs:
a) Within 24 hours of surgery
b) After 48 hours of surgery
c) After 72 hours of surgery
d) After 7-14 days of surgery

# Surgery should be carried out in a haemophilic patient if
the factor VIII concentration is raised to:
a) 2 - 20% 
b) 20 - 40%
c) 50 - 100% 
d) 100%

# Which of the following statements is true?
a) Elderly patients sustaining trauma should be given packed RBC 
b) One unit of blood raises Hb% concentration by 1 gm%
c) Massive blood transfusion leads to hyperkalemia
d) All of the above

# Following trauma or surgery which of the following fluids
should be avoided?
a) 5% dextrose 
b) Isotonic saline
c) Ringers lactate 
d) Blood

# Which of the following is incorrectly matched?
a) Thrombocytopenia - platelet rich plasma
b) Haemophilia - Cryoprecipitate
c) Burns - Packed red cells
d) DIC - fibrinogen

# Massive blood transfusions may be complicated by:
a) Hypokalemia 
b) Hypercalcemia
c) Leucopenia 
d) Coagulopathy

# Hypovolemic shock is seen when fluid loss is:
a) 10 - 20% 
b) 20 - 45%
c) 50 - 70% 
d) 70 - 80%

# Patient with severe acidosis is treated with: 
a) i.v. NaHCo3
b) Ringers lactate
c) Dextrose 
d) None of the above

# Common reaction to blood transfusion may include all except: (KAR -01)
a) Fever
b) Hypocalcemia
c) Hemolysis
d) Urticaria

# Stored plasma is deficient in: (KAR -01)
a) Factors 7 and 8
b) Factors 2 and 5
c) Factors 5 and 8
d) Factors 7 and 9

# Shock is a circulatory disturbance characterized by: (AIPG -03)
a) Increased blood
b) Elevated body temperature
c) Increased atmospheric pressure
d) Decreased volume of circulating blood

#  The best dressing for open wounds is: (AIPG -99)
a) Skin
b) Amnion
c) Opsite
d) Tulle grass



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